Organization Active NPI

Aspire Dental

  • General Practice Dentistry
  • Laurel, MS
National Provider Identifier
1841817079
Registry record updated Jul 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ASPIRE DENTAL
Practice address
3223 Audubon Dr
Laurel, MS 39440-1422
Phone
(601) 651-6790
NPI assigned
Jul 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel White
Title
Business Manager
Phone
(662) 871-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3223 Audubon Dr
Laurel, MS 39440-1422

Mailing address

730 Coulter Dr
New Albany, MS 38652-2807
Phone (662) 871-9797

National Provider Directory

National Provider Directory

Locations

730 Coulter Dr
New Albany, MS 38652
Phone (662) 534-4397

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593820800000",
    "number": "1841817079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 COULTER DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386522807",
            "telephone_number": "662-871-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 AUDUBON DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394401422",
            "telephone_number": "601-651-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-04",
        "last_updated": "2020-07-04",
        "certification_date": "2020-07-04",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "662-871-9797"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.